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Cubacub, Paul John A.

BSN402 / Group 8A Patient: FND Age: 62 Diagnosis: T/C UTI/ DM2 poorly controlled/ hypercholesterolemia/ hypertriglyceridemia/ pulmonary Tb/ Anime 2nd degree to renal disease DOA: Jan. 17, 2014

Nursing Care Plan


Nursing Diagnosis
Risk for infection related to Preexisting respiratory infection and UTI secondary to Diabetes Mellitus II Cues/Data Paresthesia on lower extremities Anemia related to renal disease

Analysis
Respiratory tract infections are responsible for a significant number of medical appointments by persons with DM compared to those without DM. Streptococcus pneumoniae and influenza virus The most frequent respiratory infections associated with DM are caused by Streptococcus pneumoniaeand influenza virus. Persons with DM six times more likely need

Goal and Objectives


Goal: After 8 hours of nursing intervention the patient will be able to identify interventions to prevent/reduce the risk of infection

Nursing Interventions

Rationale

Evaluation

Independent Establish rapport

to obtain patients trust and cooperation To obtain baseline data facilitates grieving the loss

Take and record vital signs Encourage expression of feelings and anxieties Promote good hand washing by staff and patient. Encourage to

Goal: After 8 hours of nursing intervention the patient was able to identify interventions to prevent/reduce the risk of infection Yes_ No_ Why? Objective: After 4 hours of nursing intervention the patient will be able to: Establish good working relationship with health

Objective: After 4 hours of nursing intervention the patient will be able to: Establish good working relationship

Reduces risk of crosscontaminatio n. to prevent

V/S as follows: T: 36.2 C PR:73 RR:25 BP:160/80

hospitalization duringinfluenza epidemics than non-diabetic patients. Diabetes is also a common coexisting condition and a risk factor for complications in patients with H1N1 (pandemic influenza virus) infection. Urinary tract infections (UTIs) are more prevalent in individuals with DM and may evolve to complications and/or serious manifestations. The main risk factors for UTI in DM are: inadequate glycemic control, duration of DM, diabetic microangiopathy, impaired leukocyte function, recurrent vaginitis, and anatomical and functional abnormalities of the urinary tract. Reference: http://www.ncbi.nlm.nih.gov /pmc/articles/PMC3354930/

with health care providers

Have knowledge and awareness about his condition and the disease process

increase fluid intake-increase Vit. C in the dietincrease CHON intake if not contraindicated

dehydration to boost immune system and promote collagen formation-for tissue repair Peripheral circulation maybe impaired placing patient at increased risk for skin irritation or breakdown and infection. Facilitates lung expansion and reduces risk of aspiration. These measures reduce stasis of secretions in the lungs and bronchial tree. When stasis occurs,

care providers Yes_ No_ Why? Have knowledge and awareness about his condition and the disease process Yes_ No_ Why? Practice proper hand washing Yes_ No_ Why? Know interventions to facilitate early recognition of infection Yes_ No_ Why?

Provide conscientious skin care, gently massage bony areas. Keep the skin dry, linens dry and wrinkle free.

Practice proper hand washing Place in semi fowlers position. Know intervention s to facilitate early recognition of infection

Encourage coughing and deep breathing; consider use of incentive spirometer.

pathogens can cause upper respiratory infections, including pneumonia. Provide a safe and quiet environment Take Due meds on time Collaborative Obtain specimen for culture and sensitivities as indicated To promote pts comfort To meet the bodys requirements Identifies organisms so that most appropriate drug therapy can be instituted. Early treatment may help prevent sepsis.

Administer antibiotics as appropriate.